Forms • Cambridge, MD • CivicEngage

Building Permit

Leave This Blank:

Owners Name*

Owners Mailing Address*

Owners Telephone #*

Permit For*

Contractors Name*

Contractors Mailing Address*

Contractors Telephone #*

Contractors M.H.I.C.#*

Cost of Improvements*

Permit Fee*

Remarks

Location of Project

Historic District*

Yes

Certificate of Appropriateness

	Yes
	No

N/A

Certificate of Appropriateness Date*

Date of Application*

Date of Approval*

Zoned?

Flood Plain Zone

Description of Project

* indicates required fields.